C&JS Northside Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

029725 Issued in NY

Legal business name

C&JS NORTHSIDE PHARMACY INC

Doing business as

C&J's Northside Pharmacy Inc.

Practice address

2301 Teall Ave
Syracuse, NY 13206-1691

Phone

(315) 455-6677

Fax

(315) 455-6678

NPI assigned

Aug 24, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christine Camille

Title

President/Owner

Phone

(315) 455-6677

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• C&J's Northside Pharmacy Inc. Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1225261381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 TEALL AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132061691",
            "telephone_number": "315-455-6677",
            "fax_number": "315-455-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 TEALL AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132061691",
            "telephone_number": "315-455-6677",
            "fax_number": "315-455-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C&JS NORTHSIDE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-24",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "CAMILLE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "315-455-6677"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2122570",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3215258",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C&J's Northside Pharmacy Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meghan C Byrne, MS OTR/L
• Paula Lindstrom Byrne
• Marla Judith Byrnes, RN BSN
• Michael K Byron
• Craig J Byrum, MD
• Nicole Fay Caballero
• Salvador Caban, CASAC
• Ashley Cable, OTR/L
• Pierre Noel Cabrera, RN
• Christina Cacciola

• Community/Retail Pharmacy in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.